Surgical management of postoperative endophthalmitis: comparison of 2 techniques

J Cataract Refract Surg. 2003 May;29(5):966-9. doi: 10.1016/s0886-3350(02)01892-8.


Purpose: To evaluate the results of 2 surgical techniques in eyes with postoperative endophthalmitis.

Setting: Department of Ophthalmology, Dokuz Eylul University, School of Medicine, Izmir, Turkey.

Methods: Twenty-four eyes with endophthalmitis after cataract surgery had vitrectomy as an initial procedure according to the Endophthalmitis Vitrectomy Study (EVS) criteria (Group 1, n = 24). These eyes were compared with 28 eyes that had total pars plana vitrectomy with an encircling band, silicone tamponade, and endolaser (Group 2, n = 28). The visual and anatomical outcomes and the need for additional procedures (repeat vitrectomy) were evaluated in the 2 groups.

Results: In Group 1, 6 eyes (25.0%) had an additional procedure, 3 eyes (12.5%) had phthisis, and 21 eyes (87.5%) had successful surgery. In Group 2, no eye had an additional procedure, 1 eye (3.5%) had phthisis, and 27 eyes (96.4%) had successful surgery. The number of additional procedures was significantly less and the rate of surgical success was significantly higher in Group 2 than in Group 1 (P<.01).

Conclusion: Despite the poor visual prognosis of endophthalmitis surgery, more radical intervention can increase the chance of surgical success and decrease the number of additional procedures in eyes with postoperative endophthalmitis.

Publication types

  • Comparative Study

MeSH terms

  • Aged
  • Endophthalmitis / microbiology
  • Endophthalmitis / surgery*
  • Eye Infections, Bacterial / etiology
  • Eye Infections, Bacterial / surgery*
  • Humans
  • Laser Therapy / methods*
  • Lens Implantation, Intraocular
  • Middle Aged
  • Phacoemulsification / adverse effects
  • Postoperative Complications / microbiology
  • Postoperative Complications / surgery*
  • Reoperation
  • Retrospective Studies
  • Silicone Oils / therapeutic use*
  • Treatment Outcome
  • Visual Acuity
  • Vitrectomy / methods*


  • Silicone Oils